Re: On 100% Weight bearing the day after surgery

[Guest guest]

In a message dated 2/8/2002 1:52:37 PM Eastern Standard Time,

TerryHooper2@... writes:

> I have often wondered what would have happened to all the C+

> recipients if they had been weight bearing from day 1 ?!

This is in view of my own opinion about 100% weight bearing with the C+ ...

Since it is not FDA approved in the US I assume the OS providers of the C+

want to throw 'caution to the wind' till it is ... Obviously the BHR has

shown us within the last 10 years that it is truly a remarkable device from

day one when it is implanted ... The C+ is probably as good at 100% weight

bearing also since it is basically the same as the BHR ... I'm sure as time

goes on and resurfacing becomes FDA approved and a common procedure in the US

it will also warrant the same initial weight bearing as the BHR ...

P.J.

C+ LH - May 25, 2000

[Guest guest]

Natasha .... my doc (Dr. Inglis, NYC) goes 100% ... which really means

give it what you wanna give it which is very incremental .....

My understanding is that the bone actually starts grabbing onto the cup

in a very short time ....

rick

[Guest guest]

>

> I have made inquiries with my doctor & PT as to why 100% 1 day post

> op was possible as I was curious why I have heard so much to the

> contrary on this site.

>

Dr. Sparling told me the reason for the 6 week mandate on crutches

was to protect the femural neck which is doing all the work

supporting the joint until the muscles around it heal. In fact,

while I was in the hospital after surgery, one of his patients had a

femural neck fracture from abandoning the crutches at the 2 week post

op mark and ended up with a THR. She had only one hip done, I had

both done at the same time, and that really put the fear of God into

me. I pushed it a little on driving -- he said 6 weeks and I went 5,

but otherwise I was the model patient, unwilling to screw up what I

had waited so many years for. Perhaps one additional factor is what

kind of shape your muscles are in at the time of surgery. I was a

total gimp, so my muscles were weak as puppies.

Pat

[Guest guest]

The main advocates of 100% weight bearing immediately post op. seem

to be those OS's doing BHR, whether in UK, OZ, Belgium etc.

McMinn must have set up a network of Surgeons trained by him to train

new surgeons to do the op., and therefore the instructions on this

are probably consistent, (except where the patient has particular

problems which would require a degree of healing b/4 full weight

bearing).

I think that femoral neck fracture is highly unlikely, unless the new

joint is abused, or unless there is an inherent weakness in the

patient's bone. If my experience is anything to go by, one's own

body tells you to be cautious over the first few weeks.

I have often wondered what would have happened to all the C+

recipients if they had been weight bearing from day 1 ?!

Terry H BHR - 12 months tomorrow, full weight bearing for 363 days.

> Hi all you part metal people (and those to be soon),

>

> I have made inquiries with my doctor & PT as to why 100% 1 day post

> op was possible as I was curious why I have heard so much to the

> contrary on this site.

>

> A fellow surface hippy commented that they were instructed to only

> have 50% weight bearing because after the op the joint was like a

> broken bone and needed the six weeks to heal. After questioning my

> PT about this he informed me that as long as a fractured bone was

> stabilised it also helped the healing process to be 100% weight

> bearing.

>

> My PT also mentioned the difference in philospies between US and

> Aussie doctors in that because of the litigious climate that we

> live, particularly in the US, US doctors prefer to be a little

more

> conservative. I don't mean to offend anyone as aussies are fast

> following down the same track. It is obviously much better to take

> more care that to push your new joint and as long as nothing feels

> wrong, then as has been discussed lately, do what comes naturally.

>

> I hope all those who are post op are doing well and my best wished

to

> those who are going under the knife soon

>

> Kindest Regards

>

> Natasha

> 4 1/2 weeks post op (and walking without crutches most of the time)

[Guest guest]

Just a related thought. I had one of the first anterior cruciate ligament

(ACL) rebuilds nearly 20 years ago. Then it was a new and experimental

procedure. I was not weight-bearing for nearly 3 months and have a

surgical scar well over a foot long on my knee. Now I see people with tiny

incisions who are thumping around within days. It will come with

resurfacing too, I suspect...

Cheers,

Jeff

P.S. The ACL is still going strong, all these years later!

>In a message dated 2/8/2002 1:52:37 PM Eastern Standard Time,

>TerryHooper2@... writes:

>

>

>> I have often wondered what would have happened to all the C+

>> recipients if they had been weight bearing from day 1 ?!

>

>This is in view of my own opinion about 100% weight bearing with the C+

...

>Since it is not FDA approved in the US I assume the OS providers of the C+

>want to throw 'caution to the wind' till it is ... Obviously the BHR has

>shown us within the last 10 years that it is truly a remarkable device

from

>day one when it is implanted ... The C+ is probably as good at 100% weight

>bearing also since it is basically the same as the BHR ... I'm sure as

time

>goes on and resurfacing becomes FDA approved and a common procedure in the

US

>it will also warrant the same initial weight bearing as the BHR ...

>

>P.J.

>C+ LH - May 25, 2000

>

>

>

[Guest guest]

I agree with . I had spinal surgery in 75 using harrington

rods. I was bed ridden for 4 months in a full body cast. Had to learn

to walk again, with a walking cast. I was given all kinds of

restrictions, including never sitting on a horse again. My daughter

had to undergo surgery for the same problem in 95. No cast, up walking

the next day. No riding for 1 year and now she back to it riding

competitively and attending an equine college....times do change.

I think it will likely come down to fear/comfort levels. I can tell

you this, I went back to riding 21 years after the surgery, I was

always afraid of falling, just in case I might break. When it finally

happened it was such a relief that I laughed hysterically. I am

looking forward to riding again and I'll let you know what happens

with the first fall....and it will happen, horses have large bodies,

small brains. The doctor has told me that I need to use break away

stirrups. He said his only concern is a foot getting stuck during a

fall and being dragged, big danger of dislocation.....so I am going to

invest in the best and shinniest breakaway stirrups made I am worth

it.....that being said I may allow myself to be a wimp for a little

while

Dannielle

> >In a message dated 2/8/2002 1:52:37 PM Eastern Standard Time,

> >TerryHooper2@a... writes:

> >

> >

> >> I have often wondered what would have happened to all the C+

> >> recipients if they had been weight bearing from day 1 ?!

> >

> >This is in view of my own opinion about 100% weight bearing with

the C+

> ..

> >Since it is not FDA approved in the US I assume the OS providers of

the C+

>

> >want to throw 'caution to the wind' till it is ... Obviously the

BHR has

> >shown us within the last 10 years that it is truly a remarkable device

> from

> >day one when it is implanted ... The C+ is probably as good at 100%

weight

>

> >bearing also since it is basically the same as the BHR ... I'm sure as

> time

> >goes on and resurfacing becomes FDA approved and a common procedure

in the

> US

> >it will also warrant the same initial weight bearing as the BHR ...

> >

> >P.J.

> >C+ LH - May 25, 2000

> >

> >

> >

[Guest guest]

At 03:56 PM 2/8/2002 -0000, you wrote:

>

>>

>Dr. Sparling told me the reason for the 6 week mandate on crutches

>was to protect the femural neck which is doing all the work

>supporting the joint until the muscles around it heal. In fact,

>while I was in the hospital after surgery, one of his patients had a

>femural neck fracture from abandoning the crutches at the 2 week post

>op mark and ended up with a THR. <snip> Perhaps one additional factor is

what

>kind of shape your muscles are in at the time of surgery.

Pat,

It is not only, or necessarily the muscles as I understand it, at least not

for the CDH patients. Because the joint is malformed, the bone may not be

as strong as would be normally expected, because we stressed the joint in

different places. Therefore after a resurf, we have to get the bone

strengthened enough in the places where it has not previously been

stressed. I think they are actually getting a little more conservative

with the crutch use with CDH patients because of a couple of fractures.

Are you near Dr. Sparling?

(in Portland)

[Guest guest]

From what Dr. Amstutz told me, and the information I brought home from

JRI, the 6 weeks 50% is to allow for the joint capsule to heal. The

bearing itself can tolerate the 100% immediately. Without allowing the

joint capsule to heal I imagine you greatly increase the possibility of

dislocation since this is all that keeps the joint in place.

I had surgery on Jan 29th receiving the Conserve Plus from Dr. Amstutz

and am extremely happy with the results. The staff is fantastic and my

care in the hospital was wonderful.

Dave

Re: Re: On 100% Weight bearing the day after

surgery

At 03:56 PM 2/8/2002 -0000, you wrote:

>

>>

>Dr. Sparling told me the reason for the 6 week mandate on crutches

>was to protect the femural neck which is doing all the work

>supporting the joint until the muscles around it heal. In fact,

>while I was in the hospital after surgery, one of his patients had a

>femural neck fracture from abandoning the crutches at the 2 week post

>op mark and ended up with a THR. <snip> Perhaps one additional factor

is

what

>kind of shape your muscles are in at the time of surgery.

Pat,

It is not only, or necessarily the muscles as I understand it, at least

not for the CDH patients. Because the joint is malformed, the bone may

not be as strong as would be normally expected, because we stressed the

joint in different places. Therefore after a resurf, we have to get the

bone strengthened enough in the places where it has not previously been

stressed. I think they are actually getting a little more conservative

with the crutch use with CDH patients because of a couple of fractures.

Are you near Dr. Sparling?

(in Portland)

[Guest guest]

Right on the money!! ...My doctor studied with McMinn years ago in the

UK.....

And you body always tells you what you can and cannot do....

rick

<The main advocates of 100% weight bearing immediately post op. seem

to be those OS's doing BHR, whether in UK, OZ, Belgium etc.

McMinn must have set up a network of Surgeons trained by him to train

new surgeons to do the op., and therefore the instructions on this

are probably consistent, (except where the patient has particular

problems which would require a degree of healing b/4 full weight

bearing).

I think that femoral neck fracture is highly unlikely, unless the new

joint is abused, or unless there is an inherent weakness in the

patient's bone. If my experience is anything to go by, one's own

body tells you to be cautious over the first few weeks.

I have often wondered what would have happened to all the C+

recipients if they had been weight bearing from day 1 ?!

Terry H BHR - 12 months tomorrow, full weight bearing for 363 days.>

[Guest guest]

> >

> >>

> >>

>

Hi ,

I live in Kalamazoo, Michigan. I was originally supposed to have my

surgery at the JRI, but my date kept getting bumped further and

further out and I was running out of time. They recommended Dr.

Sparling. I didn't know about this web site until after my surgery,

so I didn't know what the other options were, location-wise. I was

very happy with Dr. Sparling, though. Dr. Amstutz didn't want to do

both hips at the same time, so when I saw Dr. Sparling I had pretty

much given up on the idea of bilateral surgery. But he said it was

the way to go if we could, and it's all worked out beautifully. I'm

going out for my 6 month check up in a few weeks. Can you recommend

places to see, eat, etc.? This will be my third time there, but

first time to be a tourist. My e-mail address is: p k s b a @ a o l

. c o m

Thanks for the information you bring to us all. I always read your

posts!

Pat

>

> Are you near Dr. Sparling?

>

>

> (in Portland)